DR. KENDRICK E. LEE MD NPI 1508833377

NPI Information

NPI: 1508833377
Provider Name: DR. KENDRICK E. LEE, MD
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

PECOS Registration: Yes

Address:
3315 BROADWAY
OAKLAND, CA
ZIP 94611
Phone: (510) 486-2300
Get Directions

DR. Kendrick E. Lee, MD is a hand surgery orthopaedic surgery in Oakland, CA. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Kendrick E. Lee, MD NPI is 1508833377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3315 BROADWAY
OAKLAND, CA
ZIP 94611-717
Phone: (510) 486-2300
Fax: (510) 486-2333

The NPI 1508833377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0106X	Orthopaedic Surgery	Hand Surgery	G62668	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G626680	MEDICAID	CALIFORNIA
2	D79759	MEDICARE UPIN	CALIFORNIA
3	200018919	OTHER	CALIFORNIA	RAIL ROAD MEDICARE
4	00G626680	OTHER	CALIFORNIA	BLUE SHIELD
5	00G626682	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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